Referral Specialist - Admitting

  • MaineHealth
  • Portland, ME, USA
  • Aug 18, 2021

Job Description

Summary

Position Summary

The referral specialist will ensure patients have been cleared for an appointment by resolving pre-certification, registration, and case-related concerns prior to a patient's appointment. The referral specialist verifies insurance coverage and obtains authorization if needed from the insurance provider and provides administrative support such as entering referrals and documents within the system. Additional administrative responsibilities include scheduling and managing appointments and responding to inquiries in a timely manner.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

    1. Education: High school graduate or equivalent preferred with completion of business, secretarial school, or medical office assistant training with a minimum of one to two years of work experience in a healthcare setting.
    2. License/Certifications: N/A
    3. Experience: See "Education"
    4. Strong customer service skills
    5. Working knowledge of medical terminology, managed care/insurance industry, and health care reimbursement sources